Nichol R Vayder, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

102624 Issued in MN

Practice address

2 Keewaydin Dr
Salem, NH 03079-2839

Phone

(800) 995-2673

Fax

(888) 979-6551

NPI assigned

Feb 25, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rehab Specialists Outpatient LLCGroup PAC ID 6507254497, shared by 6 NPIs, 46 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rehab Specialists Outpatient, LLC

  • Clinic/Center
  • National City, CA
  • NPI 1235868381

  Occupational Therapist

  Medicare reassignment NPD
• Rehab Specialists Outpatient, LLC

  • Clinic/Center
  • Milwaukie, OR
  • NPI 1487321634

  CA, Occupational Therapist

  Medicare reassignment NPD
• Rehab Specialists Outpatient, LLC

  • Clinic/Center
  • Canby, OR
  • NPI 1437019015

  Occupational Therapist

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1456358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456358400000",
    "number": "1003276510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 KEEWAYDIN DR",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030792839",
            "telephone_number": "800-995-2673",
            "fax_number": "888-979-6551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 KEEWAYDIN DR",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030792839",
            "telephone_number": "800-995-2673",
            "fax_number": "888-979-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAYDER",
        "first_name": "NICHOL",
        "middle_name": "R",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-25",
        "last_updated": "2016-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "102624",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "15811",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ilona Van Der Ven
• Emily J Van Heukelom, D.D.S.
• Makayla Vandemoer, OT
• Jennifer L Vargas, R.N.
• Grisel Vasquez, SLP
• Rafael Vazquez, M.D.
• Vein Centers for Excellence of New England, Inc
• Mariebeth Velando
• Versailles Dialysis LLC
• Michelle L Vickman, OT

• Occupational Therapist in Salem, NH
• Providers in Salem, NH by specialty
• Occupational Therapist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.